size before and after ipp implant , whats up ?

[ready2go]

Hey fellow members , I'm curious as to why some members who had an ipp implant have lost size post op
i have read that it can be due to trauma from the operation itself , but also that maybe those who did lose an inch or 2 , lost size because of an extended amount of time without nocturnal erections , which are the bodies way of maintaining penile heath .
So maybe some members have not taken that into account ?
Doctors or literature often point that out that some patients are disappointed in the results ,but have failed to realize the long term effect of extended time without any erections .
i have entertained the idea of moving to an ipp from a malleable , while my malleable is trouble free . After a more than a year ,i notice in missionary ,it is lacking compared to my natural erections i had . it had more girth and length . How much ,I'm actually not sure, half an inch or 3/4 . but it felt like it went deeper and was more substantial than my now malleable .
girl on top seems like i have a longer erection ,than in missionary .
but the move to an ipp with some losing size would be pointless ,an add the often reported needed revisions , that surgery once is bad enough , but doing it 3
times is deal breaker . what are your thoughts ?

[lasthope2.0]

Those are valid concerns, ready2go. It's something I've also been preoccupied with lately. A realistic and purely mechanistic expectation for length should be our stretched flaccid pre-op or intra-op length minus ≤1 cm in the hands of a competent surgeon. This is both mechanically sound and supported by the literature, as it is not conflated with residual erection quality, pre-ED tissue health, or pre-ED hemodynamics.

Progressive ED and the resultant tissue atrophy around the dilated corpora can show up as girth loss with malleables. The only effective solution to offset that loss is by switching to an IPP and accepting the mechanical failure risks, IF one has the risk tolerance for it.

While my malleable feels super reliable and unbreakable (in theory) and gives me a fully functional erection, there seems to be too much dependence on residual tumescence for satisfactory girth.

I'm open to trying out an IPP at this point, as the grass looks greener on the girth expansion frontier. The lack of hydraulic circumferential expansion has been a HUGE disappointment for me personally with the malleable. I'm willing to roll the dice and see where it takes me, knowing that I can always return to my trusty malleable with a much wiser mindset and diverse life experience if things don't go well.

[2435tjklAS]

Lost size has been the #1 patient complaint about penile implants ever since they were invented. The weak penile health from years of ED was one cause of that problem, but it was the solved when Sellers et al. released their study in 2013 about how vacuum erection devices (VEDs) can treat or heal the fibrosis caused by ED and allow the surgeon to fit patients with an IPP that best meets their real, natural erection, just like when they were horny 22 year olds.

Not sure of the best way to link Sellers but this has "View PDF" option: https://www.semanticscholar.org/paper/V ... 7d43211195

But as medical studies do not pass through the grapevine very quickly, not everyone had heard of or familiar with the Sellers study. I know when I got on FrankTalk lost size was still viewed as expected 100%. That's a result of 1) doctors telling patients to cycle implants 15 minutes a day and the FrankTalk users took it literally, and 2) the immediate first month after you get an implant, your dick gonna be smaller. And that sucks, for most, but it's nothing to worry about long-term. People still report that problem all the time and I think it'll probably be a common complaint about implants forever, but the reality is after months or a year+ of exercise (cycling, VEDs, Perito's THE exercise, etc.) you are likely to regain your entire size or possibly more.

Cliffs: men always gonna find something to complain about regarding their dicks. But size issues are extremely rare if you follow the steps pre and post-op, and new generations have resources to support this view with new implants with the new medical research about their successes.

[LetoMan]

Two thoughts:

1) Agreed with 2345 that there really isn’t a long-term problem with lost size: studies show almost all guys get their immediately pre-op size back. There is a short-term size issue immediately post op, and there is an issue around what size might have been but for something that caused size loss pre-op (that could be solved in some cases with VED use pre-op)

2) I don’t see why you would have a loss in size switching from malleable to ipp. The malleable preserves your size. It should just be a wash when your ipp is inserted, your dick obviously stretches to your current malleable length because it has been continuously stretched that length already. You may have the short-term post op shortness we all get, but that should resolve with time.

[ColoplastTitanUpOver]

Your IPP thought process is a tremendous idea. I'm not sure if malleables can offer a natural erection. Natural erection is hydraulic. My surgeon will install a malleable in me when I hit 80 or develop an infection/arthritis/parkinsons before that.

Always remember this study for revisions:
https://doi.org/10.1097/01.ju.0000132141.48587.f1

Initial implantation of inflatable penile prosthesis has a 3% risk of infection. Reoperation of penile implants has a higher rate of infection, estimated between 10% and 18%.

By seeking a high-volume dedicated implanter, your risk reduces from 18% to 0.5%.

[dan_bionic]

Lost size has been the #1 patient complaint about penile implants ever since they were invented. The weak penile health from years of ED was one cause of that problem, but it was the solved when Sellers et al. released their study in 2013 about how vacuum erection devices (VEDs) can treat or heal the fibrosis caused by ED and allow the surgeon to fit patients with an IPP that best meets their real, natural erection, just like when they were horny 22 year olds.

Not sure of the best way to link Sellers but this has "View PDF" option: https://www.semanticscholar.org/paper/V ... 7d43211195

But as medical studies do not pass through the grapevine very quickly, not everyone had heard of or familiar with the Sellers study. I know when I got on FrankTalk lost size was still viewed as expected 100%. That's a result of 1) doctors telling patients to cycle implants 15 minutes a day and the FrankTalk users took it literally, and 2) the immediate first month after you get an implant, your dick gonna be smaller. And that sucks, for most, but it's nothing to worry about long-term. People still report that problem all the time and I think it'll probably be a common complaint about implants forever, but the reality is after months or a year+ of exercise (cycling, VEDs, Perito's THE exercise, etc.) you are likely to regain your entire size or possibly more.

Cliffs: men always gonna find something to complain about regarding their dicks. But size issues are extremely rare if you follow the steps pre and post-op, and new generations have resources to support this view with new implants with the new medical research about their successes.

2435, agree with what you say, however

Cliffs: men always gonna find something to complain about regarding their dicks. But size issues are extremely rare if you follow the steps pre and post-op, and new generations have resources to support this view with new implants with the new medical research about their successes.

don't agree with that!

There are many bionic brothers here, including me, who never complain about their implanted dicks, we love our dick and enjoy our "tools" to the fullest
Dan